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New Jersey rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Facilitymedian $31 · 10th–90th $31$870%50%90th$31Professionalmedian $45 · 10th–90th $33$720%10%20%10th90th$45$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $81.28 / $117.49
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $51.29 / $83.18